Evidence mapPaperPMID 28883232Full record

ArticleInternal medicine (Tokyo, Japan)2017

Severe Hypertriglyceridemia Possibly Masked Acute Pancreatitis and Led to a Difficult Diagnosis in an Obese Patient with Ketoacidosis-onset Type 2 Diabetes.

Midori Fujishiro, Akiko Horita, Hiroshi Nakagawara, Takayuki Mawatari, Yoshifusa Kishigami, Yoshiteru Tominaga, Mitsuhiko Moriyama, Hisamitsu Ishihara

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Midori FujishiroDivision of Diabetes and Metabolic Diseases, Nihon University School of Medicine, Japan.
Akiko HoritaDivision of Diabetes and Metabolic Diseases, Nihon University School of Medicine, Japan.
Hiroshi NakagawaraDepartment of Gastroenterology and Hepatology, Nihon University Hospital, Japan.
Takayuki MawatariDivision of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University Hospital, Japan.
Yoshifusa KishigamiDepartment of Internal Medicine, Sonoda Daiichi Hospital, Japan.
Yoshiteru TominagaDivision of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University Hospital, Japan.
Mitsuhiko MoriyamaDepartment of Gastroenterology and Hepatology, Nihon University Hospital, Japan.
Hisamitsu IshiharaDivision of Diabetes and Metabolic Diseases, Nihon University School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A young obese man with ketoacidosis-onset type 2 diabetes mellitus, associated with severe hypertriglyceridemia, was admitted to a local hospital complaining of abdominal pain. Although the abdominal pain worsened, his serum amylase level remained normal with persistent severe hypertriglyceridemia until the second day of hospitalization. The next day, computed tomography showed severe acute pancreatitis (AP) with serum amylase elevation, while the patient's triglyceride level decreased to 558 mg/dL. He was transferred to our hospital and recovered after intensive care. AP accompanied by diabetic ketoacidosis is not rare but an early diagnosis can be difficult to make due to normal amylase levels in the presence of severe hypertriglyceridemia.

Indexed as

Abdominal PainAcute DiseaseAdultAmylasesChronic DiseaseDiabetes Mellitus, Type 2Diabetic KetoacidosisEnzyme InhibitorsHumansHypertriglyceridemiaMaleObesityPancreatitisTomography, X-Ray ComputedTreatment OutcomeAmylasesEnzyme Inhibitorsabdominal painamylase activitydiabetic ketoacidosishypertriglyceridemiapancreatitisType 2 diabetes mellitus

Identifiers

PMID28883232
PMCPMC5658527

What Socratic holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.